中医骨科康复治疗80例老年骨性关节炎的临床疗效分析

目的:探讨中医骨科康复治疗老年骨性关节炎的临床效果。方法:随机选取2009年9月～2012年9月在我院治疗的老年骨性关节炎患者155例临床病例作为调查对象。对照组予以塞来昔布胶囊口服,治疗组予以中医骨科康复治疗,比较治疗后的效果情况。结果:两组在治疗前VAS和JOY评分无明显差异性,P>0.05,但治疗后两组有明显的差异性;对照组的显效率为60%,总有效率为85.3%;观察组的显效率为76.2%,总有效率为96.2%,两组之间有明显的差异性,以上情况P均<0.05,均具有统计学意义。结论:中医骨科康复治疗老年骨性关节炎疗效满意。

基层医院1例过期流产大出血急救及护理体会

本院于2012年7月收治1例过期流产大出血。失血性休克患者，经抢救及精心护理，治愈出院，现将急救护理体会介绍如下：

补法联合常规治疗促进骨科急性损伤恢复随机平行对照研究

[目的]观察补法联合常规治疗促进骨科急性损伤恢复疗效。[方法]使用随机平行对照方法,将178例门诊及住院患者按随机数字表法分为两组。损伤控制后均配合物理治疗促进康复。对照组89例损伤控制后常规治疗(关节、韧带、软组织损伤限制活动,保证充分休息,局部应用止疼药物及口服活血止痛药物;四肢骨折手术内固定、石膏及夹板外固定)。治疗组89例损伤初期补阳还五汤、桃红四物汤;损伤中期参苓白术散;损伤后期左归饮、六味地黄丸。损伤控制常规治疗同对照组。连续治疗15d为1疗程。观测临床症状、血红蛋白(HB)、白蛋白(AIB)、不良反应。治疗1疗程,判定疗效。[结果]HB、AIB值损伤初期两组间无明显差异(P>0.05),损伤中期、后期对照组低于治疗组(P<0.05)。[结论]补法联合常规治疗促进骨科急性损伤恢复,治疗时间短,恢复效果较好。

心理护理在妇科内诊患者中的运用

目的探讨心理护理在消除妇科内诊患者的羞愧、焦虑、恐惧心理的作用。方法回顾性分析2011年实施心理护理的955例妇科内诊检查治疗病员,通过心理护理后羞愧、焦虑、恐惧心理的消除情况。结果 751例患者消除了羞怯、焦虑和恐惧,占78.64%,204例患者经使用小剂量镇静剂或止痛药,局麻、反复心理疏导、鼓励、安慰,羞愧、焦虑、恐惧心理部分消除,占21.36%。总有效率100%。

微创肱骨自锁髓内钉治疗肱骨干骨折

【摘要】目的：分析微创肱骨自锁髓内钉治疗肱骨干骨折的方法殁效果。方法：将我院诊诒的肱骨干骨折80例患者分为两组，各40例，研究细行微创肱骨自锁髓内钉治疗，对照细行肱骨交锁髓内钉治疗，观察比较两组患者的手术时间、术中出血量和术后拆线时间，以及肩关节功能和肘关节功能恢复状况。结果：研究组的手术时间、术中出血量、术后拆线时间均优于对照组，两组比较差异有统计学意义（P〈0.05）；两组患者治疗后的肩关节功能和肘关节功能恢复良好。结论：微创自锁髓内钉治疗肱骨干骨折，不但具备固定牢靠和操作简单的特点，而目具备手术创伤小和出血少等优点，成为治疗肱骨干骨折比较理想的术式之一。

Clinical observation on the different frequency hearing damages in sudden deafness treated by electroacupuncture combined with western medicine comprehensive therapy

Objective To compare the difference in the clinical efficacy on the different frequency hearing damages for the patients with sudden deafness between the comprehensive therapy of electroacupuncture and western medicine and the simple western medicine comprehensive therapy. Methods Fifty-eight cases were randomized into an acupuncture plus medication group （28 cases, 32 damaged ears） and a western medicine group （30 cases, 34 damaged ears）. In the acupuncture plus medication group, the comprehensive therapy of electroacupuncture and western medicine was used. The main points were ěrmén （耳门 TE 21）, Tīnggōng （听宫 SI 19）, Tīnghuì （听会 GB 2）, Yìfēng （翳风 TE 17）, etc. The western medicine therapy was the comprehensive treatment with vasodilators, the medicines for promoting nerve function and releasing inner ear edema and hyperbaric oxygen. In the western medicine group, the western medicine comprehensive therapy was adopted. 10-day treatment made one session. Two sessions of treatment were required. In 1 or 2 sessions of treatment, the efficacy was observed, the electric audiometry was evaluated. Additionally, the blood routine and liver and kidney functions were detected. Results The total effective rate was 50.0% （16/32） in the acupuncture ＋ medication group and was 55.9% （19/34） in the western medicine group. The efficacies were similar between the two groups （P〉0.05）. In 1 and 2 sessions of treatment, at 250 Hz, 500 Hz and 1 kHz, the electric audiometry values in either group were recovered significantly as compared with those before treatment （all P〈0.01）. At 2 kHz, in 1 and 2 sessions of treatment, the improvements of the electric audiometry values were significant as compared with those before treatment in the acupuncture plus medication group separately （P〈0.05, P〈0.01）. At 4 kHz, the differences were not significant statistically before and after treatment in either group （all P〉0.05）. There were no abnormalities in the blood routine and liver and kidney function detections before and after treatment in either group. Conclusion Either the comprehensive therapy of electroacupuncture and western medicine or the simple western medicine comprehensive therapy is effective in the treatment of low frequency hearing damage of sudden deafness. Either of them has no effect on high frequency hearing damage. But for the middle frequency hearing damage, the efficacy of the comprehensive therapy of electroacupuncture and western medicine is superior to that of the simple western medicine comprehensive therapy.